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State of California—Environmental Protection Agency Form Approved OMB No.2050-0039(Expires 9-30-99) See Instructions on back of a 6. Department of Toxic Substances Control PIC a print or type, Form designed for use on elite(12-pitch)ty, er. Sacramento,California UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas WASTE MANIFESTO /� fy , I is not required by Federal law. NL l/ VV V of `/ 3. :generator's Name and Mailing Address - A. State Manifest Document Number 22494825 �r� pp C BP West Coast Products LLC 2 G 4 9 4 O 2 5 P.O.BOR 90877 B. State Generators ID _ LO 4. Generator's Phone(310 1787-4600 I os Angeles,CA 900091�1 g g, E IF 110 12 10 151 1 sCV 5. Transporter 1 Company Name 6. US EPA ID Number C" Stat6LTronsporter's1D[Reserved.] - - C) Belshire Enviro mental.Services,Inc. 9 DY Transporters Phone o (949)':450.1010 7. Transporter 2 Company Name ! P P Y 8. US EPA ID Number E_ Stafe TransPor�ter s ID[Reserved - e J F,'iransporfefs Phone:.3 Q c U 9. Designated Facility Name and Site Address 10. US EPA ID Number G.,.Slale Facihty�s ID Q DeMenno IKerdoon ck�Z 2000 North Alameda Street H Facility's Phone O Co to_ CA 90222 mP T', 1 $ (310)537-7100 J Q 1 1. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number 12. Containers 13. Total 14. Unit U P I 9 P PP 9 I No. Type Quantity Wt/Vol I. Waste Number z Gasoline htiiire State 134 3 UNI 203 P.G.II 3� E A Waste)(Not Regulated as a RCR / G EPA/other Exe t z N 6. State b E ti R EPA/Other v A C. T State 2J O R EPA/Other.:` u 1 State Z ll EPA/Other J. Additional Descriptions for Materials Listed Above K: Handling Codes For Wastes Listed Above L 2000 North Aanerican EMERGENCY RESPONSE GUIDE NO. 128 . a. b 3 the T-DR Notification statement is not required as of January,1996 Y c. d f�a J HSC Citation 25179.6- 5 15. Special Handling Instructions and Additional Information - i Gasoline and Water mixture. Wear appropriate protective clothintr ARCO 4932 BESI# 61914 FOLDLA (949)753-5826(24 hour Emergency Phone) 16 East Harding Way LINE.'Al Li SIbE 01 (949)450-1010(Mon-Fri lam to 5prn) Stockton,CA MatEAUI TAB STICI 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, - LT196U 0 t marked,and labeled,and ore in all respects in proper condition for transport by highway according to applicable international and national government regulations. J J J_ If I am a large quontiFy generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford. Printed/Typed Name Signature Month Day Year Lary MootharuBESI as agent of ARCO U C7 T 17. Transporter 1 Acknowledgement of Receipt of Materials R $ Printed/Typed Na r �G J Signature �.j ( QMonth Day O _ sR Year P 0 18. Transporter 2 Acknowledgement of Receipt of Materials R Printed/Typed ed Name y Year T YP Signature Month Da � E R 19. Discrepancy Indication Space F A C L. ( c0. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest exce s no i t m 9. T Linled/Typed Name /n Signature Y Month Day Year DO NOT WRI BELOW LINE. -TSC 8022A(1/99) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS, PA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812